Therapieergebnisse nach primär konservativer Versorgung distaler Radiusfrakturen bei Patienten im Alter von über 65 Jahren

Jakob, Marcel; Mielke, Stephan; Keller, H.; Metzger, U.

doi:10.1055/s-1999-13532

Cited by 20 publications

(4 citation statements)

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“…Kelly, Warwick, Crichlow et al (1997) felt that for patients more than 65 years old a maximum of 30° of dorsal angulation and 5 mm of radial shortening could be accepted. Jacob, Mielke, Keller et al (1999) found that a dorsal angle of more than 20° and a radial inclination of less than 15° were associated with more complaints and patient dissatisfaction. Treatment guidelines have also been advanced for distal radius fractures based on the anatomic deformity.…”

Section: Discussionmentioning

confidence: 94%

Effect of malunited fractured distal end of radius on the morphometric parameters of distal radioulnar joint

Rehman

Ajmal

2015

J Morphol Sci

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Introduction: Malunion is the most frequent complication of fracture distal radius. Fracture malunion has been shown to associate with altered morphometric anatomy of distal radioulnar joint. Objective: This study aims to identify normal radiographic morphometry reference values and variations according to age and sex of distal radioulnar joint. This study was also carried out to determine the radiological correlation between normal and malunited distal radius in patient with unilateral malunited fracture to find out the effect of malunited fractured distal end of radius on the morphometric parameters of distal radioulnar joint. Materials and Methods: After twelve weeks of injury x-ray of injured wrist was compared with the radiograph of the contra lateral normal wrist for the difference in radial length, radial inclination, ulnar variance and palmar tilt. Results: Results of this study showed that there were signiicant difference in distal radius parameters between genders for both groups except for the difference in palmer tilt i.e. since value of P< 0.0001 so there is significant difference between two group 1% level of significant suggesting that with 99% confidence, there is significant difference between mean of normal male and female right wrist parameters of both age group except for palmer tilt. Similarly there were variations in all parameter measurements for those x-ray films showing severe malunion and signiicant differences were noted for all parameters distal radius between normal and malunited wrist in both age groups i.e. since value of P< 0.0001 so there is significant difference between two group 1% level of signiicant suggesting that with 99% conidence, there is signiicant difference for all parameters between mean of normal and malunion group. Conclusion: These results can be used in treatment of the malunited distal radius for correction of deformity at the wrist and achieving the best possible anatomical reduction in the young active patient and at minimizing the intervention in the low demand elderly patient with multiple comorbidities. These data also can be used for clinical research in the designing of wrist implants.

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Section: Discussionmentioning

confidence: 94%

Effect of malunited fractured distal end of radius on the morphometric parameters of distal radioulnar joint

Rehman

Ajmal

2015

J Morphol Sci

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“…Die rein kon ser va ti ve Be hand lung [7] ist ins be son de re auf grund der ver bes serten ope ra ti ven Mög lich kei ten nur noch bei sta bi len Frak tu ren (Typ A2 nach der AO-Klas si fi ka ti on) zu emp feh len. Hauptgrund ist die hohe Re dis lo ka ti ons nei gung der in sta bi len Frak tu ren (A3, C1-C3), auch bei suf fi zi en ter Nach be hand lung.…”

Section: Dis Kus Si Onunclassified

Konservatives Vorgehen bei körperfernem Speichenbruch

Thielke

Echtermeyer

2006

Trauma Berufskrankh

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Thiel ke • V. Ech ter mey er Un fall chi rur gi sche Kli nik, Kli ni ken im Müh len kreis, Kli ni kum Min den A2 Kon ser va tiv Kir sch ner-Draht-Sta bi li sie rung A3 Kir sch ner-Draht-Sta bi li sie rung Plat te no s teo syn the se B1-3 Schrau ben-/Plat te no s teo syn the se Kir sch ner-Draht-Sta bi li sie rung C1 Win kel sta bi le Plat te no s teo syn the se Kir sch ner-Draht-Sta bi li sie rung C2 Win kel sta bi le Plat te no s teo syn the se Kom bi na ti ons ver fah ren C3 Kom bi na ti ons ver fah ren Be hand lung an der Un fall chi rur gi schen Kli nik, Kli ni kum Min den; ab hän gig von der AO-Klas si fi ka ti on

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“…Distal radius fracture is one of the most common fractures seen in Accident and Emergency departments (Jedwabinski et al, 1996;Jupiter, 1991;Kedra and Pielka, 1998;Skowronski, 2003). In most cases, it is managed conservatively with primary closed reduction under local or regional anaesthesia and then immobilization in plaster of Paris (Altissimi et al, 1986;Bacorn and Kurtzke, 1953;Earnshaw et al, 2002;Jakob et al, 1999;Kedra and Pielka, 1998;Lindstrom, 1959;Porter and Stocklej, 1987;Sarmiento et al, 1980;Skowronski, 2003;Toh and Jupiter, 1995;Young and Rayan, 2000).…”

Section: Introductionmentioning

confidence: 99%

Peripheral Nerve Compression Neuropathy after Fractures of the Distal Radius

Bienek

Kusz

Cieliński

2006

Journal of Hand Surgery

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Sixty patients with unilateral distal radius fractures were managed conservatively. Clinical assessment included objective and subjective evaluations of the outcome of treatment. Radiographic evaluation included fracture classification using the AO/ASIF system and measurement of volar tilt, radial inclination and radial height shortening at the end of treatment. Clinical signs of carpal tunnel syndrome were confirmed electrodiagnostically in 12 patients (20%) during the recovery period. Each patient had electrodiagnostic studies of both upper limbs performed to confirm the diagnosis. The mean time between injury and the onset of symptoms was 10 months (range 6.5 weeks-27 months). A statistically significant correlation between the final clinical results of treatment and post-traumatic median nerve compression neuropathy was found, but the occurrence of the neuropathy correlated with neither fracture type nor with the final radiographic findings. No clinical signs of ulnar or radial nerve compression occurred in this study.

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Therapieergebnisse nach primär konservativer Versorgung distaler Radiusfrakturen bei Patienten im Alter von über 65 Jahren

Abstract: In old-aged patients with distal radius fractures, the indication for surgical treatment should be made very carefully, since certain degrees of radiological malalignment are tolerated well.

Cited by 20 publications

References 0 publications

Effect of malunited fractured distal end of radius on the morphometric parameters of distal radioulnar joint

Effect of malunited fractured distal end of radius on the morphometric parameters of distal radioulnar joint

Konservatives Vorgehen bei körperfernem Speichenbruch

Peripheral Nerve Compression Neuropathy after Fractures of the Distal Radius

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